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Laparoscopy-assisted cystectomy for large adnexal cysts

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Abstract

Objective

To evaluate the feasibility and surgical outcome of laparoscopy-assisted surgery for large adnexal cysts.

Methods

From January 1998 to October 2007, 46 women underwent laparoscopy-assisted surgery for large adnexal cysts whose maximum diameter were between 10 and 20 cm, radiologic and laboratory features suggestive of benign disease. All the patients had a pre-operative ultrasound with or without computed tomography and CA-125 assessment. Patients’ demographics, clinical and ultrasound features, CA-125 values, surgical procedures, operative and post-operative complications, estimated amount of blood loss (EBL), operative time, conversion to laparotomy and the pathological findings were recorded.

Results

Fourty-six consecutive patients underwent laparoscopy-assisted surgery over 9 years. The mean and range of the patients’ age and body mass index were 34.1 ± 6.3 and (21–45) years and 27.4 ± 5.9 and (22–40), respectively. In all the patients, except one with borderline ovarian tumor, laparoscopy-assisted surgery was successful. There were no operative or post-operative complications. The mean and range of the operative time, EBL and hospital stay were 48.4 ± 7.3 and (35–65) min, 55.0 ± 28.9 and (25–150) mL, 1.49 ± 0.50 and (1–3) days, respectively. The mean and range of the extracorporeal cystectomy time were 10.2 ± 2.7 and (8–14) min. The surgical procedures performed were: ovarian and paraovarian cystectomy (n = 45), unilateral salpingo-oophorectomy, pelvic-paraaortic lymphadenectomy and omentectomy (n = 1). Pathologic findings included serous cystadenoma (n = 26), mucinous cystadenoma (n = 7), dermoid (n = 6), endometriosis (n = 6), and borderline ovarian tumor (n = 1).

Conclusion

Laparoscopy-assisted surgery is feasible and safe for women with large benign adnexal cysts and result s in a short surgery time.

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Authors and Affiliations

  1. Departments of Obsterics and Gynecology, Ümraniye Education and Research Hospital, Istanbul, Turkey

    Ahmet Göçmen, Tuba Atak, Mustafa Uçar & Fatih Şanlıkal

Authors
  1. Ahmet Göçmen
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  2. Tuba Atak
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  3. Mustafa Uçar
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  4. Fatih Şanlıkal
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Correspondence to Ahmet Göçmen.

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Göçmen, A., Atak, T., Uçar, M. et al. Laparoscopy-assisted cystectomy for large adnexal cysts. Arch Gynecol Obstet 279, 17–22 (2009). https://doi.org/10.1007/s00404-008-0651-2

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  • DOI: https://doi.org/10.1007/s00404-008-0651-2

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